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Individual

JACOB LEWIS BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
119 N SHELBY ST, CADILLAC, MI 49601-1928
(586) 746-7846
Mailing address
119 N SHELBY ST, CADILLAC, MI 49601-1928
(586) 746-7846

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038011071
IL
111N00000X
Chiropractor
Primary
2301009218
MI
111N00000X
Chiropractor
JB009218
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038011071
LICENSE
IL
01
11640363
CAHQ
IL
01
1477690865
GROUP NPI
IL
01
210868
MEDICARE GROUP PTAN
IL
01
2301009218
LICENSE
MI
01
7521142
BLUE CROSS/BLUE SHIELD IL
IL
01
885287
HEALTHLINK
IL
Enumeration date
08/27/2006
Last updated
05/10/2026
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